NBP KAROBAR (UNDER PRESIDENT'S ROZGAR SCHEME )

LOAN APPLICATION FORM PERSONAL INFORMATION

Please () the box that applies to you

To Be Filled In Block Letters Only

Mr./Ms./Mrs. CNIC No. (New) Father's/Husband's Name Father's/Husband's CNIC No. Nationality Date of Birth Educational Qualification Employment Status (If applicable)

First Name

Middle Name NIC No. (Old)

Last Name

NTN No. (If Available) Mothers Maiden Name Day Below Matric Unemployed Self Employed Professional Salaried Businessperson Name of Office / Business Name of Employer Name of Business Commercial Agriculture Services Net Monthly Income Rs. Net Monthly Income Rs. Net Monthly Income Rs. Other Month Matric Year Intermediate Age Graduate Gender: Male Years Masters Female

Nature of Business Office Address Current House Status Type of Accommodation Residing (Accommodation) Residential Address (Present) Village Postal Code (Present) Telephone Number (Present) Residing at above address since Residing in the city since

Industrial

Owned House Independently House No.

Family Owned Apartment Jointly Street

Rented Other

Other (Please Specify) If Rented, Monthly Rent (Rs.) No. of People Residing Together Area / Mohalla

Shared with Relative

City E-mail Address Home Office

Union Council

Mobile

month

year

If period is less than 2 years, kindly provide prior address(es) during last two years Residential Address (Permanent) House No. Village Postal Code (Permanent) Next of Kin Name Next of Kin Address Marital Status Unmarried Married Divorced/ Separated
Amount Expiry Date

Street City Telephone No.

Area / Mohalla Union Council

Telephone No.

No. of DependentsAdults

Children

Other

Existing Limits (all borrowing of the customer)

Regular

Fund Based Non-FundBased

Status Amount Overdue (if any) Amount Rescheduled/ Restructured (if any)

LOAN INFORMATION
Applying for Product NBP NBP NBP NBP Karobar Karobar Karobar Karobar Utility Store Mobile General Store PCO Tele -centre Years NBP Karobar Mobile Utility Store NBP Karobar Transport Others (Please Specify) Down Payment % of price Rs. Funds required for the shop setup of Utility Store: Advance Rent / Security Deposit Furniture, Fixtures and Equipments etc.

Requested Loan Amount (Rs.) Term of Loan (1-5 years) Description / Model of finished goods

REFERENCES / GUARANTOR INFORMATION

Referenc No. 1: e Name CNIC No. (New) Residence Address Telephone Number Office Address Referenc No. 2: (Not Close Relative) e Name CNIC No. (New) Home Office Mobile NTN No. Occupation Signature Fathers Name NIC No. (Old)

Fathers Name NIC No. (Old) Residence Address Telephone Number Office Address Home Office Mobile NTN No. Occupation Signature

(P.T.O) Rs. 5/-